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Abstract

Human suffering as a result of natural disasters or conflict includes death and disability from non-communicable
diseases, including diabetes, which have largely been neglected in humanitarian crises. The objectives of this Series
paper were to examine the evidence on the burden of diabetes, use of health services, and access to care for people with
diabetes among populations affected by humanitarian crises in low-income and middle-income countries, and to
identify research gaps for future studies. We reviewed the scientific literature on this topic published between 1992 and
2018. The results emphasise that the burden of diabetes in humanitarian settings is not being captured, clinical guidance
is insufficient, and diabetes is not being adequately addressed. Crisis-affected populations with diabetes face enormous
constraints accessing care, mainly because of high medical costs. Further research is needed to characterise the
epidemiology of diabetes in humanitarian settings and to develop simplified, cost-effective models of care to improve
the delivery of diabetes care during humanitarian crises.

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